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Individual

MARY ELLEN SIMMONS CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200330077LPN
OR

Other

Enumeration date
07/07/2021
Last updated
07/07/2021
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